Translation and adaptation of the Ambulatory Surgery Center Survey on Patient Safety Culture into the Portuguese context
DOI:
https://doi.org/10.12707/RIV19062Keywords:
patient safety, ambulatory care, validation studiesAbstract
Background: As the number of ambulatory surgeries performed in Portugal increases, it becomes essential to evaluate the patient safety culture within this context. The adaptation and validation of the Ambulatory Surgery Center Survey on Patient Safety Culture is a study that still has not been carried out for the Portuguese context.
Objectives: To translate, adapt, and validate the Ambulatory Surgery Center Survey on Patient Safety Culture into European Portuguese, and to evaluate its psychometric properties.
Methodology: The translation and adaptation were developed in 6 stages and followed international guidelines. The instrument was applied to a randomized, non-probabilistic sample of 221 participants in a private ambulatory surgery unit in central Portugal. The analysis of the internal consistency using Cronbach’s alpha and exploratory, confirmatory factor analysis were performed.
Results: The internal consistency obtained a value of 0.934. The original factor solution original of the questionnaire was used.
Conclusion: The translated version presented a good quality in the psychometric evaluation and can be considered a valid, reliable, and useful instrument for the evaluation of the patient safety culture in ambulatory surgery units in Portugal.
Downloads
References
Administração Central do Sistema de Saúde. (2017). Atividade cirúrgica do SNS atinge o valor mais elevado de sempre em 2016. Recuperado de http://www.acss.min-saude.pt/2017/08/29/atividade-cirurgica-do-sns-atinge-o-valor-mais-elevado-de-sempre-em-2016/
Associação dos Enfermeiros de Sala de Operações Portugueses. (2012). Enfermagem perioperatória: Da filosofia à prática dos cuidados. Loures, Portugal: Lusodidata.
Attree, M., & Newbold, D. (2009). Risk, safety, and reliability: From cult to culture? Journal of Nursing Management, 17(2), 145-150. doi:10.1111/j.1365-2834.2009.01000.x/epdf
Comissão Nacional para o Desenvolvimento da Cirurgia de Ambulatório. (2008). Relatório final: Cirurgia de ambulatório: Um modelo de qualidade centrado no utente. Recuperado de http://www.apca.com.pt/documentos/relatorio_final_CNADCA_20Out08.pdf
Davidson, J. (2014). Why a column on ambulatory best practices? AORN Journal, 99(5), 612-915. doi:10.1016/j.aorn.2014.01.018
Direcção-Geral da Saúde, Direcção de Serviços de Planeamento. (2001). Cirurgia de ambulatório: Recomendações para o seu desen volvimento. Lisboa, Portugal: Autor.
Fan, C., Pawlik, T., Daniels, T., Vernon, N., Banks, K., Westby, P., ... Makary, M. (2016). Association of safety culture with surgical site infection outcomes. American College of Surgeons, 222(2), 122-128. doi:10.1016/j.jamcollsurg.2015.11.008
Fragata, J. (2011). Segurança dos doentes: Uma abordagem prática. Lisboa, Portugal: Lidel.
Marôco, J. (2007). Análise estatística com utilização do SPSS (3ª ed.). Lisboa, Portugal: Edições Sílabo.
Pestana, H., & Gageiro, J. (2008). Análise de dados para ciências sociais: A complementaridade do SPSS (5ª ed.). Lisboa, Portugal: Edições Sílabo.
Reason, J. (2000). Human error: Models and management. The BMJ, 320, 768-770. doi:10.1136/bmj.320.7237.768
Smith, S., Sorra, j., Franklin, M., Rockville, W., & Behm, J. (2015). Ambulatory surgery center survey on patient safety culture: User’s guide. Recuperado de https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
Sorra, J., Smith, S., & Franklin, M. (2015). Results from the 2014 AHRQ ambulatory surgery center survey on patient safety culture pilot study. Recuperado de https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
Sousa , V., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268-274. doi:10.1111/j.1365-2753.2010.01434.x
Wilson, J., Whyte, R., Gangadharan, S., & Kent, M. (2017). Teamwork and communication skills in cardiothoracic surgery. The Annals of Thoracic Surgery, 103(4), 1049-1054. doi:10.1016/j.athoracsur.2017.01.067
Zwinjenberg, N., Hendriks, M., Hoogervorst-Schilp, J., & Wagner, C. (2016). Healthcare professionals’ views on feedback of a patient safety culture assessment. BMC Health Services Research, 16(199). doi:10.1186/s12913-016-1404-8
